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Title: The efficacy of speech-hand synchronization treatment for adults who stutter
Author: Almudhi, Abdulaziz
ISNI:       0000 0004 5361 6511
Awarding Body: University of Reading
Current Institution: University of Reading
Date of Award: 2014
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Introduction: The study compares a current and widely used treatment program for adult stuttering (Camperdown program; CP) with a new speech hand synchronization (SHS) approach, developed by the researcher, which combines fluency shaping and cognitive components with the use of hand gesture to help facilitate fluency. Methodology: The treatment phase of the research was carried out at the King Abdulaziz Medical City- National Guard Hospital in Saudi Arabia, Riyadh. Using a randomised control trial approach, 30 matched adults who stutter were assigned to one of three groups: 10 clients each in the SHS, CP and control groups. Experimental participants were seen for a total of 16 treatment sessions occurring twice weekly over a ten-week period. Participants were assessed for cognitive and behavioural changes using both qualitative and quantitative measures at baseline, immediately post-treatment, and follow-up of three and six months. Results: Both CP and SHS were found to significantly reduce stuttering compared to the control group, but no significant differences between the SHS and CP were observed in any post clinical assessments as assessed by the Stuttering Severity Instrument version 4. However, unlike CP, SHS was also found to have a positive effect in assessments measuring well-being and self-perceptions. Discussion and conclusion: Results indicate that SHS significantly improves the cognitive and behavioural reactions to stuttering, and also improves positive functional communication difficulties compared to control and CP groups. It is argued that the success of SHS rests in a combining attention to cognitive and affective aspects of treatment alongside the reinforcement of the speech and hand gesture synchronization. Ideas for further development of the SHS program are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available